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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 1  |  Page : 16-19

A new modification of limberg flap for correction of severe anal stenosis


Department of Plastic Surgery, S. L. Raheja/Fortis Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Ajitkumar Shripad Borkar
40/B, Shankar Smruti. Sir Bhalchandra Road, Dadar (East), Mumbai - 400 014, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCS.IJCS_4_19

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This case presents two new concepts. First, a new modification of Limberg flap is introduced where the flap is raised by extending the long axis of the rhombic defect. It is particularly useful for correction of contracture with the vector of release lying along the short axis. Second, we are introducing a novel method for surgical treatment of moderate or severe anal stenosis. This flap brings an ample amount of skin with excellent blood supply and mobility with the least amount of tension at the suture line. It also allows the excision of the cicatrix and can avoid internal sphincterotomy. Donor site closure scar does not add to the vector of contracture.


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